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    NDC 62584-0693-21 Doxycycline 100 mg/1 Details

    Doxycycline 100 mg/1

    Doxycycline is a ORAL TABLET, COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is DOXYCYCLINE HYCLATE.

    Product Information

    NDC 62584-0693
    Product ID 62584-693_06439ebd-4d74-c1ab-e063-6394a90a8870
    Associated GPIs 04000020100310
    GCN Sequence Number 009223
    GCN Sequence Number Description doxycycline hyclate TABLET 100 MG ORAL
    HIC3 W1C
    HIC3 Description TETRACYCLINE ANTIBIOTICS
    GCN 40360
    HICL Sequence Number 004013
    HICL Sequence Number Description DOXYCYCLINE HYCLATE
    Brand/Generic Generic
    Proprietary Name Doxycycline
    Proprietary Name Suffix n/a
    Non-Proprietary Name Doxycycline Hyclate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, COATED
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name DOXYCYCLINE HYCLATE
    Labeler Name American Health Packaging
    Pharmaceutical Class Tetracycline-class Drug [EPC], Tetracyclines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA065095
    Listing Certified Through 2024-12-31

    Package

    NDC 62584-0693-21 (62584069321)

    NDC Package Code 62584-693-21
    Billing NDC 62584069321
    Package 30 BLISTER PACK in 1 BOX, UNIT-DOSE (62584-693-21) / 1 TABLET, COATED in 1 BLISTER PACK (62584-693-11)
    Marketing Start Date 2013-03-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13342
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description DOXYCYCLINE HYCLATE 100 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis